The 2010 Philippine Health Statistics. Department of Health NATIONAL EPIDEMIOLOGY CENTER

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1 The 2010 Philippine Health Statistics Department of Health NATIONAL EPIDEMIOLOGY CENTER

2 Republic of the Philippines Department of Health NATIONAL EPIDEMIOLOGY CENTER Manila ENRIQUE A. TAYAG, MD, PHSAE, FPSMID, CESO III Director IV AGNES BENEGAS-SEGARRA, MD, PHSAE Medical Officer V Chief, Surveys Risk-Assessment and Evaluation Division STATISTICS AND PUBLICATION SECTION FE A. SINSON, MA LEA MYLENE R. REBANAL THERESA D. TIMBANG, MPA

3 TABLE OF CONTENTS Page List of Tables List of Figures Definition of Terms Formula of Vital Health Indicators vi viii ix xii Introduction Sources of Data 1 Classification of Data 3 Analysis and Interpretation of Data 4 Natality Statistics 25 Morbidity and Notifiable Diseases Statistics 49 Mortality Statistics 74 General Mortality 75 Infant Mortality 78 Maternal Mortality 79 Fetal Deaths 80 Mortality Among Lower Age Group 81 Mortality Among Immunizable Diseases 81 v

4 LIST OF TABLES Table 1 Estimated Population by Sex, Philippines, Table 2 Estimated Population by Region, Province & City, 8 Table 3 Estimated Population, Number and Percent Distribution by Age Group and Sex 12 Table 4 Livebirths, Total Deaths, Infant Deaths, Maternal Deaths and Fetal Deaths Number & Rate, Philippines, Table 5 Livebirths, Total Deaths, Infant Deaths, Fetal Deaths and Maternal Deaths, By Region, Province & City, Number & Rate, 15 Table 6 Livebirths, Total Deaths, Infant Deaths & Fetal Deaths by Month of Occurrence Number & Percent Distribution, 21 Table 7 Total Livebirths, Female Population and Fertility Rate, by Region 23 Table 8 Frequency Distribution of Livebirths, by Sex, Region, Province & City, Phils., Table 9 Frequency Distribution of Livebirths, by Attendance, Region, Province & City, 33 Table 10 Percent Distribution of Livebirths by Attendance, Region, Province & City, Phils., Table 11 Page Number and Percent Distribution of Livebirths by Age Group of Mother and Sex of Newborn, 46 Table 12 Livebirths by Age of Mother and Number of Living Children, 47 Table 13 Livebirths by Age of Mother & Region, 48 Table 14 Morbidity: Ten (10) Leading Causes, Number & Rate/100,000 Population, Phils., Table 15 Morbidity : Ten (10) Leading Causes by Sex, Number & Rate/100,000 Population 53 Table 16 Regional Morbidity: Ten (10) Leading Causes, Number & Rate/100,000 Population 54 Table 17 Notifiable Diseases by Region, Number & Rate/100,000 Population, 60 Table 18 Table 19 Table 20 Table 21 Table 22 Table 23 Notifiable Diseases: Reported Cases & Deaths, Number & Rate/100,000 Population, Philippines, Mortality : All Causes by Age Group & Sex, Number, Rate/100,000 Population & Percent Distribution, 82 Mortality : All Causes by Sex and Region Number, Rate/1,000 Population & Percent Distribution, 83 Mortality : All Causes by Age, Sex and Region, Number & Percent Distribution 85 Mortality: Ten (10) Leading Causes by Sex, Number, Rate/100,000 Population and Percent Distribution, 90 Mortality: Ten (10) Leading Causes, Number & Rate/100,000 Population 5-Year Average ( ) & Table 24 Ten (10) Leading Causes of Mortality Among Males, 93 Table 25 Ten (10) Leading Causes of Mortality Among Females, 94 Table 26 Table 27 Table 28 Mortality: Ten (10) Leading Causes by Attendance, Number & Percent Distribution 95 Mortality by Attendance, Region, Province & City, Number & Percent Distribution 97 Mortality: By Cause, Age Group & Sex, Number & Rate/100,000 Population 103 vi

5 Table 29 Selected Causes of Death by Region, Province & City Number & Rate/100,000 Population, 143 Table 30 Mortality: 17 Cause-Groups, Number, Rate & Percent Distribution, 197 Table 31 Mortality: Communicable Diseases, Malignant Neoplasm and Diseases of the Heart Number & Rate/100,000 Population, 198 Table 32 Mortality: Ten (10) Leading Causes, Number & Rate/100,000 Population, 2000 & Table 33 Infant Mortality by Smaller Age Groups, Number, Rate/1,000 Livebirths & Percent Distribution, 5-Year Average ( ) and Table 34 Infant Mortality: Ten (10) Leading Causes, Number, Rate/1,000 Livebirths & Percent Distribution, 202 Table 35 Infant Mortality by Sex and Region, Number & Rate/1,000 Livebirths, Phils., Table 36 Maternal Mortality by Main Cause, Number, Rate/1,000 Livebirths & Percent Distribution, 205 Table 37 Maternal Mortality by Age Group and Region, Number, Rate/1,000 Livebirths & Percent Distribution, 207 Table 38 Fetal Deaths by Type of Attendance and Region, Number and Percent Distribution, 212 Table 39 Leading Causes of Fetal Deaths by Birth Weight, Number & Percent Distribution 214 Table 40 Fetal Deaths by Age of Mother and Birth Order, 217 Table 41 Mortality Among Lower Age Group : Ten Leading Causes by Age Group and Sex Number and Rate/100,000 Population, 218 Table 42 Mortality Among Immunizable Diseases (Age-group Under1; 1-4; 5-9; years) Number & Rate/100,000 Population, 219 vii

6 LIST OF FIGURES Page Figure 1 Philippine Health Picture, Figure 2 Estimated Population, Philippines, Figure 3 Estimated Population, Percent Distribution by Age Group and Sex 11 Figure 4 Crude Birth and Death Rates, Rate /1,000 Population, Philippines, Figure 5 Infant and Maternal Death Rates, Rate /1,000 Livebirths, Philippines, Figure 6 Health Indices by Month of Occurrence, Percent Distribution, Philipppines, Figure 7 Fertility Rate by Region, 24 Figure 8 Livebirths by Attendance, 24 Figure 9 Livebirths by Age of Mother and Sex of Newborn, 45 Figure 10 Livebirths by Region, Percent Distribution, 45 Figure 11 Morbidity: Ten (10) Leading Causes, Rate/100,000 Population, 51 Figure 12 Morbidity: Ten (10) Leading Causes by Sex, Rate/100,000 Population, Phils., Figure 13 Morbidity and Mortality Trends, Rate/ 100,000 Population, Philippines, Figure 14 Mortality: All Causes by Age Group, Rate/1,000 Population, 84 Figure 15 Mortality: All Causes by Region, Percent Distribution, 84 Figure 16 Mortality: Ten (10) Leading Causes, Percent Distribution, 92 Figure 17 Mortality: Ten (10) Leading Causes by Sex, Percent Distribution, 92 Figure 18 Mortality: Ten (10) Leading Causes by Attendance, Percent Distribution, Phils., Figure 19 Mortality Trend: Communicable Diseases, Malignant Neoplasms and Diseases of the Heart, Rate/100,000 Population, Philippines, Figure 20 Mortality: Leading Causes, Rate/100,000 Population,, 2000 and Figure 21 Infant Mortality by Smaller Age-Groups, Percent Distribution, 203 Figure 22 Infant Mortality : Ten (10) Leading Causes, Rate/1,000 Livebirths, 203 Figure 23 Maternal Mortality by Main Cause, Percent Distribution, 206 Figure 24 Maternal Mortality by Region, Rate/1,000 Livebirths, 206 Figure 25 Fetal Deaths by Attendance, Percent Distribution, 213 Figure 26 Fetal Deaths by Age of Mother, Ratio / 1,000 Livebirths, 213 viii

7 DEFINITION OF TERMS The following terms and concepts were used in this report and were defined as follows: ADJUSTED OR STANDARDIZED RATES - To render the rates of 2 communities comparable, adjustment for the difference in age, sex, race and any other factors which influence vital events have to be made. 2 methods: a) By applying observed specific rates to some standard population b) By applying specific rates of standard population to corresponding classes or groups of the local population. ATTACK RATE (AR) - A more accurate measure of the risk of exposure. Useful in epidemiological investigations ATTENDED - refers to the cases given medical care at any point in time during the course of the illness which directly caused death. Medical care may either be provided directly by a medical doctor or indirectly by allied health care providers, i.e., nurses and midwives who are under the direct supervision of a medical doctor. Otherwise, case is categorized as death unattended. BIRTH ORDER is the numerical order of a child in relation to all previous pregnancies of the mother. BIRTH WEIGHT - is the first weight of the fetus or newborn obtained after birth. CRUDE BIRTH RATE (CBR) - is a measure of one characteristic of the natural growth or increase of a population. CRUDE DEATH RATE (CDR) is measure of one mortality from all causes which may result in a decrease of population. CRUDE or GENERAL RATES - These rates are referred to the total living population. It must be presumed that the total population was exposed to the risk of the occurrence of the event. DEATH is the permanent disappearance of all evidence of life at any time after live birth has taken place (postnatal cessation of vital functions without capability of resuscitation). FETAL DEATH is the death prior to the complete expulsion or extraction of a product of conception from its mother, irrespective of the duration of pregnancy; the death is indicated by the fact that after such separation the fetus does not breathe or show any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles. ix

8 FETAL DEATH RATE (FDR) - Measures pregnancy wastage. Death of the product of conception prior to its complete expulsion, irrespective of duration of pregnancy. INCIDENCE RATE (IR) - Measures the frequency of occurrence of the phenomenon during a given period of time. Deals only with new cases. INFANT MORTALITY/DEATH is the death of an infant under one year of age. INFANT MORTALITY RATE (IMR) - Measures the risk of dying during the 1st year of life. It is a good index of the general health condition of a community since it reflects the changes in the environmental and medical conditions of a community. LATE FETAL DEATH is the death of fetus with 28 or more completed weeks of gestation. LIVE BIRTH is the complete expulsion or extraction from its mother of a product of conception, irrespective of the duration of the pregnancy, which after such separation, breathes or shows any other evidence of life, such as beating of the heart, pulsation of the umbilical cord, or definite movement of voluntary muscles, whether or not the umbilical cord has been cut or the placenta is attached; each product of such birth is considered liveborn. MATERNAL MORTALITY/DEATH is the death of a woman while pregnant or within 42 days of termination of pregnancy, irrespective of the duration and the site of the pregnancy, from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes. MATERNAL MORTALITY RATE (MMR) - It measures the risk of dying from causes related to pregnancy, childbirth and puerperium. It is an index of the obstetrical care needed and received by the women in a community. NEONATAL DEATH is the death among live births during the first 28 completed days of life. NEONATAL DEATH RATE (NDR) - Measures the risk of dying during the 1st month of life. May serve as index of the effects of prenatal care and obstetrical management on the newborn. PLACE OF OCCURRENCE - refers to the place where the vital event took place. PREVALENCE RATE (PR) - Measures the proportion of the population which exhibits a particular disease at a particular time. This can only be determined following a survey of the population concerned. Deals with total (old and new) number of cases. PROPORTIONATE MORTALITY (PM) - Shows the numerical relationship between deaths from a cause (or groups of causes), age (or groups of age) etc. and the total number of deaths from all causes in all ages taken together. Not a measure of risk of dying. RATE - In Vital Statistics, a rate shows the relationship between a vital event and those persons exposed to the occurrence of said event, within a given area and during a specified unit of time. It is evident that the persons experiencing the event (the numerator) must come from the total population exposed to the risk of same event (the denominator). x

9 RATIO - It is used to describe the relationship between two (2) numerical quantities or measures of events without taking particular considerations to the time or place. These quantities need not necessarily represent the same entities, although the unit of measure must be the same for both numerator and denominator of the ratio. SPECIFIC DEATH RATE - Describes more accurately the risk of exposure of certain classes or groups to particular diseases. To understand the forces of mortality, the rates should be made specific provided the data are available for both the population and the event in their specifications. Specific rates render more comparable results and thus, reveal the problems of public health. SPECIFIC RATE - The relationship is for a specific population class or group. It limits the occurrence of the event to that portion of the population definitely exposed to it. TOTAL FERTILITY RATE (TFR) refers to the number of children a woman would have by the time she reaches age 50 under a given fixed fertility schedule. It is sometimes referred to as completed family size. It is the average number of births per 100 females aged years. USUAL RESIDENCE refers to the place where the person/deceased habitually or permanently resides. xi

10 FORMULA OF VITAL HEALTH INDICATORS Attack Rate (AR) No. of persons acquiring a disease registered in a given year A R = x 100 No. exposed to same disease in same year Case Fatality Ratio(CFR) No. of registered deaths from a specific disease for a given year CFR = x 100 No. of registered cases from same specific disease in same year Crude Birth Rate (CBR) Total No. of live births registered in a given calendar year CBR = x 1,000 Estimated population as of July 1 of same year Crude Death Rate (CDR) Total no. of deaths registered in a given calendar year CDR = x 1,000 Estimated population as of July 1 of same year Fetal Death Ratio Total no. of fetal deaths registered in a given calendar year Fetal Death Ratio = x 1,000 Total no. of live births registered of same year xii

11 Fetal Death Rate Total no. of fetal deaths registered in a given calendar year FDR = x 1,000 Total no. of births (livebirths and fetal deaths) registered of same year Incidence Rate (IR) No. of new cases of a particular disease registered during a specified period of time I R = x 100,000 Population at risk Infant Mortality Rate (IMR) Total no. of deaths under 1 year of age registered in a given calendar year IMR = x 1,000 Total no. of registered live births of same calendar year Maternal Mortality Rate (MMR) Total no. of deaths from maternal causes registered for a given year MMR = x 1,000 Total no. of live births registered of same year Neonatal Death Rate (NDR) No. of deaths under 28 days of age registered in a given calendar year NDR = x 1,000 No. of live births registered of same year xiii

12 Prevalence Rate (PR) No. of new and old cases of a certain disease registered at a given time P R = x 100 Total no. of persons examined at same given time Proportionate Mortality (PM) Specific Death Rate (SDR) No. of registered deaths from a specific cause or age for a given calendar year P M = x 100 No. of registered deaths from all causes, all ages in same year Deaths in specific class or group registered in a given calendar year Specific = x 100,000 Death Rate Estimated population as of July 1 in same specified class or group of said year Examples: No. of deaths from a specific cause registered in a given calendar year Cause-specific = x 100,000 Death Rate Estimated population as of July 1st of same year No. of deaths in a particular age group registered in a given calendar year Age-specific = x 100,000 Death Rate Estimated population as of July 1st in same age group of same year No. of deaths of a certain sex registered in a given calendar year Sex-specific = x 100,000 Death Rate Estimated population as of July 1 in same sex for same year xiv

13 INTRODUCTION The Philippine Health Statistics (PHS) series is the Department of Health s (DOH) annual publication that compiles statistics on vital health events. It provides comprehensive summary of the country s current statistics on Natality, Morbidity and Mortality. The PHS is a product of the collaborative and coordinated efforts of the National Statistics Office (NSO), this Department and our partners from the local health units. The statistical data on births, deaths and population estimates were provided by the NSO and data on notifiable diseases were collected through the DOH s Field Health Service Information System (FHSIS). The data from these two sources were summarized, analysed, interpreted and presented in tables and graphs for a more meaningful and useful information. In addition, morbidity and notifiable diseases data were incorporated to give a comprehensive comparison between morbidity and mortality statistics The PHS is intended to serve as one of the bases of health administrators at various levels for planning, implementation and assessment of health programs and services.. These data can also be utilized to assess costs of health care, identify needed prevention targets for health programs and these are important tools not only for planning but also for monitoring and evaluation of health programs. Likewise, statistical data in this publication can also be beneficial to the researchers, academicians and local government executives. The Department of Health (DOH) through the National Epidemiology Center (NEC), as an advocate for evidence-based decision making at all levels of the public health systems, believes that vital health statistics provide some measures of progress of the nation, thus, the 2010 Philippine Health Statistics is hereby presented A. SOURCES OF DATA 1. Natality and Mortality Statistics Effective March 1973 a collaborative program was drawn with the National Statistics Office (NSO) whereby that Office shall provide basic tabulation on births and deaths. Summary tables on births, deaths, infant and fetal deaths were taken from the said Office. The basis of the registration of vital events regarding births and deaths is Republic Act No otherwise known as the Civil Registry Law. By virtue of Commonwealth Act 591, the Administrator of NSO will be the concurrently Civil Registrar-General with all local civil registrars under his supervision. In the cities, the local civil registrars are also the officials designated in their respective city charters, generally the City Health Officers, while in regular municipalities and municipal districts, the municipal treasurers and municipal district treasurers act as local civil registrar respectively. Each vital event is registered in the office of the civil registrar of the locality where the event occurred and a copy of each document is sent to the Office of the Civil Registrar General of the NSO for processing and archiving. 1

14 Statistics were obtained from Death Certificate (Municipal Form No. 103) and Certificate of Live Birth (Municipal Form No. 102). The Vital Statistics Division of the NSO consolidates and tabulates total counts of registered live births and deaths. Fetal and infant deaths have separate table for deaths by cause, while, causes of maternal death were lifted from deaths by age group and by cause. By virtue of a Memorandum of Agreement between the NSO and DOH, the former furnishes the DOH copies of summary tables of the number of live births and deaths. The latter then computes rates and percentages of different indicators significant to the needs of its various clients and stakeholders. Some tables come with graphs and textual analysis for better understanding and utilization of data. 2. Notifiable Disease Statistics Data on Notifiable Diseases is based on information submitted by health personnel of different Rural Health Units (RHUs), City Health Offices (CHOs) or Provincial Health Offices (PHOs) and Municipal Health Offices (MHOs). The Law on Reporting of Notifiable Diseases (Act 3573) mandates the immediate reporting of any Notifiable Disease to the nearest health officer. All field health officers, by means of established reporting mechanism (Memorandum Order No. 51-a.s. 1960) submit weekly morbidity reports (Forms W1-a and W1-b) to the National Epidemiology Center (NEC) where such data received are then classified, compiled, analyzed and interpreted. The complete report is presented in Field Health Service Information System (FHSIS) Annual Report. On July 27, 2001, a DOH Department Circular No. 176, series of 2001 was issued for a revised list of Notifiable or Reportable Diseases which now includes the ICD-10 code of each case except for Acute Watery Diarrhea and Acute Bloody Diarrhea. 3. Population Statistics The 2000 Census-Based National, Regional and Provincial Population Projection of the National Statistics Office (NSO) was used as the official population estimates for the computation of the different indicators presented in this report. It presented population projections at the national, regional, provincial and city levels. The base population used in these projections was the population enumerated during the 2000 Census of Population and Housing (CPH). 2

15 B. CLASSIFICATION OF DATA Classification of health statistics and population statistics must be made according to the similarly defined system and tabulated in comparable groups in order to make use of the principal value of both data. Thus, variables common to both, i.e., geographic area, age and sex have been similarly classified and tabulated in this report. 1. Geographic Classification Data on Notifiable Diseases have been classified by place of occurrence. First by region which is a geographical division created as a result of the reorganization of the Department of Health (DOH), then, by province and city that were political divisions of the country. There are seventeen (17) regions, eighty (80) provinces and one hundred twenty-one (121) cities. The National Capital Region (NCR) has one (1) more municipality which is Pateros. There is no classification as to whether it is rural or urban because of the lack of established criteria. Natality and mortality data were classified geographically either by place of occurrence or by usual residence. Usual residence refers to the place where the person habitually or permanently resides. Data on deaths by place of usual residence of the deceased are used to prepare population estimates and projections. These data include birth or death that occurred in the Philippines and the deceased were residents of other countries which fall under classification foreign countries. On the other hand, classification of data by place of occurrence considered the actual place in the Philippines where vital event occurred not prioritizing the usual residence of the deceased. 2. Age There is no valid information with regard to the accuracy of age of a reported morbid case. Regarding the registered deaths, the age of deceased is fully determined by the date of birth. However, some of the vital records are submitted with the age not recorded or the date of birth not indicated. Thus, misstatement of age on vital records may be assumed to some degree. The age classification or age groupings used in this report are consistent with those recommended for international use by the World Health Organization. 3. Diseases and Causes of Death The Mortality statistics was tabulated based on the underlying cause of death documented on the medical certificate of cause of death. The underlying cause has been defined as the disease or injury which initiated the train of morbid events leading directly to death; or the circumstances of the accident or violence which produced the fatal injury. The selected cause of death does not include symptoms and modes of dying, such as heart failure or respiratory failure. 3

16 On the other hand, Morbidity statistics was tabulated based on the report submitted through FHSIS from the list of Notifiable Diseases. These were ranked and summarized according to the number of cases per reported disease. The Morbidity and Mortality statistics in this publication were classified and tabulated in accordance with the International Classification of Diseases, Version 10 (ICD-10). The structure of the ICD-10 code is alphanumeric. The first character of the code is an alpha character, A to Z, followed by 2, 3 or 4 numeric character. Some 3 character categories are further subdivided into sub-categories to enable coding of a disease or condition as specific as possible 4. Sex Classification by sex is made in relation to other factors such as age, and geographical location. Thus, some tabulation presented in this report may be considered as four-fold tables with sex as one of the attributes of classifications. C. ANALYSIS AND INTERPRETATION OF DATA Vital statistics are essential in planning, operating and evaluating programs not only on health but also in some aspects too like, transport, agricultural production, employment, housing, among others. They are very useful for a variety of administrative and research purposes. However, they cannot correctly be interpreted unless pertinent qualifying factors are taken into consideration. Some of the factors limiting the use of statistical data emanate from discrepancies in the original records or from the impracticability of tabulating these data in very detailed items. While these defects do exist, nevertheless, the value of these data for original purposes is indispensable. The exact evaluation of health statistics or the analysis of small differences necessitates careful study of a variety of related elements. However, the major trends and differences may not be altered materially by finer analysis. 1. Small Frequencies The number of births and deaths reported for an area or community, or the number of ailments, represents complete counts of such events. Such being the case, they are not subject to sampling errors although they are subject to errors in the registration process or reporting system. When data is used for analytical purposes, as for example, the comparison of rate over a time period or for different areas, the number of events that actually occurred may be considered as one of a large series of possible results that could have rise under the same circumstances. In accordance with certain 4

17 statistical assumptions, the probable range of values may be estimated from the actual figures. 2. Computation of Statistical Indices In the computation of statistical indices for the Philippines and each region, province and city, the standard formulae are used. Thus, the crude birth and death rates are computed per 1,000 population; the infant, neonatal and maternal death rates and fetal death ratio are per 1,000 live births; and the specific diseases morbidity and mortality rates classified either by age, sex or age and sex are computed per 100,000 population. If it is further tabulated by age, it is computed per 100,000 population of that specific age group. 3. Completeness of Registration and Notification In the Philippines, although the law provides for a compulsory registration of births, deaths and fetal deaths and the reporting of Notifiable Diseases (Act 3573) there are deficiencies in the observance of the law due to a variety of factors. In the interpretation of these data, caution must be observed as the data were not adjusted for under registration or underreporting. Marked fluctuations in vital events totals for some specific areas do not necessarily reflect differentials in fertility or mortality level but rather could be indications of variations in registration coverage. In the case of notifiable diseases, sources of data are the RHUs and BHSs in the country, thus cases identified or confirmed in hospitals and other private facilities may not be included in the report unless these private practitioners submit Notifiable Diseases or report to their respective city or provincial health offices. Completeness in the reporting of Notifiable Diseases varies greatly by disease and by area. In general and from all indications, reporting is apparently incomplete. 4. Population Bases The official population estimates since 1931, as computed by NSO using geometric method, are presented in this report. The bases for the yearly population figures are the censuses of 1918, 1939, 1948, 1960, 1970, 1975, 1980, 1990, 1995 and The population from 1996 to 2002 in this report were projected from the 1995 census. While, population onwards up to the current year (2010), the population base is the 2000 census, except for the year 2007, which is the official result of the 2007 Census of Population. The base population for the projections were generated from the national, regional and provincial population data as obtained from 2000 census. To ascertain the accuracy of age reporting and the completeness of enumeration, the results of the censuses were assessed separately as well as jointly with other existing data. 5

18 Philippine Health Picture PROJECTED POPULATION Increased from 62,049,229 to 94,013,200 52% Increase CRUDE BIRTH RATE Decreased from 26.3 to % Decrease CRUDE DEATH RATE Increased from 5.1 to 5.2 2% Increase INFANT DEATH RATE Declined from 24.3 to % Decrease MATERNAL DEATH RATE Increased from 0.8 to % Increase FETAL DEATH RATIO Declined from 7.3 to % Decrease 2010 LIFE EXPECTANCY AT BIRTH Male: 67 years Female: 73 years Both Sexes 70 years 6

19 Table 1 ESTIMATED POPULATION BY SEX Philippines, Year Both Sexes Male Female ,013,200 47,263,600 46,749, ,226,600 46,368,900 45,857, ,457,200 45,483,100 44,974, * 88,566,732 44,757,788 43,788, ,972,500 43,742,100 43,230, ,261,000 42,887,300 42,373, ,558,700 42,037,200 41,521, ,081,457 40,820,706 40,260, ,503,675 40,031,449 39,472, ,925,894 39,242,185 40,031, ,348,114 38,452,927 37,895, ,745,756 37,650,939 37,094, ,147,776 36,851,141 36,296, ,549,790 36,051,342 35,498, ,951,810 35,251,544 34,700, ,616,536 34,584,170 34,032, ,624,247 34,476,274 34,147, ,981,614 33,653,665 33,327, ,338,989 32,831,066 32,507, ,620,672 31,973,356 31,647, ,049,229 31,183,608 30,865, ,096,988 30,182,591 29,914, ,721,307 29,486,542 29,234, ,356,042 28,795,983 28,560, ,004,130 28,112,404 27,891, ,668,332 27,437,246 27,231, ,192,708 26,699,705 26,493, ,399,565 26,091,773 25,307, ,357,151 25,475,273 25,881, ,536,022 24,846,275 24,689, ,316,503 24,231,626 24,084, ,580,400 23,150,500 23,429, ,528,500 22,627,700 22,900, ,005,300 22,412,700 22,592, ,751,300 21,744,400 22,006, ,517,300 21,169,400 21,347, ,457,100 20,645,600 20,811, ,219,000 20,030,000 20,189, ,039,700 19,434,000 19,605, ,959,000 18,888,000 19,071, ,849,000 18,318,000 18,531, ,158,000 18,741,000 18,417, ,883,000 18,098,000 17,785, ,196,000 17,480,000 17,716, ,477,000 16,885,000 16,592, ,345,000 16,314,000 16,031, ,270,000 15,772,000 15,498, ,241,000 15,255,000 14,986, ,257,000 14,759,000 14,498, ,313,000 14,282,000 14,031, ,410,000 13,826,000 13,584,000 *2007 Population is from the 2007 Census of Population 2007 male and female population do not add up to both sexes because male and female population do not include Filipinos from Phil. Embassies, Consulates and Mission Abroad. 7

20 Table 2 ESTIMATED POPULATION By Region, Province & City Area Population Area Population PHILIPPINES 94,013,200 REGION II - CAGAYAN VALLEY 3,365,400 NATIONAL CAPITAL REGION 11,552,100 Batanes 20,300 Cagayan 1,039,813 City of Manila 1,843,805 Isabela 1,282,720 City of Mandaluyong 324,747 Nueva Vizcaya 447,800 City of Marikina 456,169 Quirino 177,000 City of Pasig 588,982 Quezon City 2,535,049 Tuguegarao City 142,887 City of San Juan 137,234 City of Cauayan 123,531 Kalookan City 1,373,282 City of Santiago 131,349 City of Malabon 395,161 City of Valenzuela 566,096 REGION III - CENTRAL LUZON 10,159,300 City of Navotas 268,688 City of Las Piñas 551,340 Aurora 220,700 City of Makati 518,789 Bataan 590,416 City of Muntinlupa 442,339 Bulacan 2,119,457 City of Parañaque 524,554 Nueva Ecija 1,359,290 Pasay City 413,882 Pampanga 1,694,022 City of Taguig 545,037 Tarlac 967,180 Pateros 66,946 Zambales 513,765 CORDILLERA ADMINISTRATIVE REGION 1,694,400 City of Balanga 85,584 City of Malolos 232,264 Abra 244,200 City of Meycauayan 216,027 Apayao 123,600 City of San Jose Del Monte 418,451 Benguet 415,616 Cabanatuan City 262,789 Ifugao 201,500 City of Gapan 105,181 Kalinga 219,700 Science City of Muñoz 77,337 Mt. Province 174,700 Palayan City 36,853 San Jose City 127,650 Baguio City 315,084 Angeles City 323,207 City of San Fernando 267,771 REGION I - ILOCOS 5,172,900 City of Tarlac 312,520 Olangapo City 228,835 Ilocos Norte 496,451 Ilocos Sur 585,691 REGION IVA - CALABARZON 11,904,100 La Union 700,335 Pangasinan 2,456,095 Batangas 1,621,511 Cavite 2,653,536 Laoag City 111,149 Laguna 1,594,650 City of Candon 59,124 Quezon 1,772,070 City of Vigan 52,785 Rizal 1,634,177 City of San Fernando 127,865 City of Alaminos 91,243 Batangas City 300,966 Dagupan City 161,905 Lipa City 265,543 San Carlos City 191,640 City of Tanauan 142,880 City of Urdaneta 138,617 Cavite City 138,652 Tagaytay City 63,191 Trece Martires City 58,121 City of Calamba 342,918 San Pablo City 253,612 City of Santa Rosa 226,420 Lucena City 232,830 City of Antipolo 603,023 *2010 estimated population is a 2000 census-based projected population Note: Sum of Regional Population may not add up to Philippine Population due to rounding off. Sum of Provincial Population may not add up to Regional Population due to rounding off. 8

21 Table 2 ESTIMATED POPULATION By Region, Province & City Area Population Area Population REGION IVB - MIMAROPA 3,018,000 REGION VII - CENTRAL VISAYAS 7,029,300 Marinduque 271,900 Bohol 1,270,405 Occidental Mindoro 502,400 Cebu 2,242,669 Oriental Mindoro 746,337 Negros Oriental 888,516 Palawan 807,864 Siquijor 92,800 Romblon 335,300 Tagbilaran City 92,495 Calapan City 136,263 Cebu City 899,112 Puerto Princesa City 217,936 Danao City 123,557 Lapu-Lapu City 271,450 REGION V - BICOL 5,711,500 Mandaue City 324,872 City of Talisay 185,258 Albay 888,935 Toledo City 176,582 Camarines Norte 564,000 Bais City 80,931 Camarines Sur 1,627,388 City of Bayawan 120,468 Catanduanes 255,800 Canlaon City 55,306 Masbate 782,824 Dumaguete City 121,507 Sorsogon 689,859 City of Tanjay 83,372 Legazpi City 188,071 REGION VIII - EASTERN VISAYAS 4,447,500 City of Ligao 108,527 City of Tabaco 128,367 Biliran 175,800 Iriga City 108,541 Eastern Samar 461,300 Naga City 168,270 Leyte 1,535,786 City of Masbate 87,376 Northern Samar 631,900 City of Sorsogon 113,541 Samar 622,122 Southern Leyte 347,842 REGION VI - WESTERN VISAYAS 7,578,000 Ormoc City 187,006 Aklan 547,900 Tacloban City 216,508 Antique 592,200 Calbayog City 183,978 Capiz 635,797 City of Maasin 85,258 Guimaras 176,100 Iloilo 1,805,045 REGION IX - ZAMBOANGA PENINSULA 3,396,800 Negros Occidental 1,111,726 Zamboanga Del Norte 804,820 Roxas City 151,503 Zamboanga Del Sur 861,105 Iloilo City 441,488 Zamboanga Sibugay 613,300 City of Passi 83,867 Bacolod City 523,621 Dapitan City 83,206 Bago City 172,949 Dipolog City 121,874 Cadiz City 173,233 Pagadian City 174,718 City of Escalante 96,527 Zamboanga City 737,777 City of Himamaylan 108,225 City of Kabankalan 182,770 La Carlota City 68,837 Sagay City 158,358 San Carlos City 144,317 Silay City 131,458 City of Sipalay 75,738 City of Talisay 96,586 City of Victorias 99,755 *2010 estimated population is a 2000 census-based projected population Note: Sum of Regional Population may not add up to Philippine Population due to rounding off. Sum of Provincial Population may not add up to Regional Population due to rounding off. 9

22 Table 2 ESTIMATED POPULATION By Region, Province & City Area Population Area Population REGION X - NORTHERN MINDANAO 4,349,300 REGION XII - SOCCSKSARGEN 3,885,600 Bukidnon 1,000,597 Cotabato 1,068,893 Camiguin 91,100 Saranggani 533,100 Lanao del Norte 564,993 South Cotabato 722,209 Misamis Occidental 317,295 Sultan Kudarat 643,825 Misamis Oriental 721,511 City of Kidapawan 125,307 City of Malaybalay 155,596 General Santos City 525,859 City of Valencia 186,108 City of Koronadal 170,832 Iligan City 337,407 City of Tacurong 95,575 Oroquieta City 70,602 Ozamis City 130,273 REGION XIII - CARAGA 2,549,400 Tangub City 58,630 Cagayan de Oro City 585,425 Agusan del Norte 344,331 Gingoog City 129,764 Agusan del Sur 704,100 Surigao del Norte 312,132 REGION XI - DAVAO 4,362,400 Surigao del Sur 481,405 Dinagat Islands 129,283 Compostela Valley 705,100 Davao 408,612 Butuan City 318,869 Davao Del Sur 761,827 Surigao City 143,285 Davao Oriental 526,400 City of Bislig 115,995 City of Panabo 155,356 AUTONOMOUS REGION OF MUSLIM MINDANAO 3,837,200 Island Garden City of Samal 95,811 City of Tagum 208,221 Basilan 249,863 Davao City 1,353,394 Lanao del Sur 846,410 City of Digos 147,680 Maguindanao 1,078,100 Sulu 735,000 Tawi-tawi 405,200 *2010 estimated population is a 2000 census-based projected population Note: Sum of Regional Population may not add up to Philippine Population due to rounding off. Sum of Provincial Population may not add up to Regional Population due to rounding off. City of Isabela 90,600 City of Lamitan 72,337 Marawi City 164,890 Cotabato City 194,800 10

23 ESTIMATED POPULATION Philippines No. in millions Year Interval Figure 2 ESTIMATED POPULATION Percent Distribution, By Age group and Sex Age Group 70 yrs. & over yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs yrs. 5-9 yrs. 0-4 yrs Male Female Figure 3 11

24 Table 3 ESTIMATED POPULATION Number and Percent Distribution By Age Group and Sex Age Group Estimated Population Percent* Male Female Both Sexes Male Female Both Sexes All Ages 47,263,600 46,749,600 94,013, Under 1 yr. 1,119,477 1,058,762 2,178, yr. 4,499,923 4,306,638 8,806, yrs. 5,289,200 5,081,100 10,370, yrs. 5,006,300 4,795,200 9,801, yrs. 4,900,900 4,702,400 9,603, yrs. 4,478,600 4,378,900 8,857, yrs. 3,940,800 3,951,200 7,892, yrs. 3,474,900 3,526,600 7,001, yrs. 3,013,200 2,995,200 6,008, yrs. 2,737,600 2,704,700 5,442, yrs. 2,376,700 2,325,400 4,702, yrs. 1,974,500 1,957,100 3,931, yrs. 1,521,500 1,529,300 3,050, yrs. 1,122,800 1,185,000 2,307, yrs. 735, ,600 1,559, yrs. & Over 1,071,500 1,428,500 2,500, * Percent share to total population 12

25 Table 4 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, MATERNAL DEATHS & FETAL DEATHS Number & Rate Philippines, Maternal Fetal Livebirths Total Deaths Infant Deaths Year Deaths Deaths Number Rate* Number Rate* Number Rate** Number Rate** Number Ratio** ,782, , , , , ,745, , , , , ,784, , , , , ,749, , , , , ,663, , , , , ,688, , , , , ,710, , , , , ,669, , , , , ,666, , , , , ,714, , , , , ,766, , , , , ,613, , , , , ,632, , , , , ,653, , , , , ,608, , , , , ,645, , , , , ,643, , , , , ,680, , , , , ,684, , , , , ,643, , , , , ,631, , , , , ,565, , , , , ,565, , , , , ,582, , , , , ,493, , , , , ,437, , , , , ,478, , , , , ,506, , , , , ,474, , , , , ,461, , , , , ,456, , , , , ,429, , , , , ,387, , , , , ,344, , , , , ,314, , , , , ,223, , , , , ,081, , , , , ,049, , , , , , , , , , , , , , , ,008, , , , , ,015, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , * Per 1000 Population ** Per 1000 Livebirths 13

26 Rate Crude Birth and Death Rates Rate/1,000 Population Philippines, Live Births Total Deaths Figure 4 INFANT AND MATERNAL DEATH RATES Rate/1,000 Livebirths Philippines, Maternal deaths Infant deaths Figure 5 14

27 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** PHILIPPINES 1,782, , , , , NCR 279, , , , City of Manila 81, , City of Mandaluyong 6, , City of Marikina 10, , City of Pasig 21, , Quezon City 59, , , City of San Juan 2, Kalookan City 25, , City of Malabon 3, , City of Valenzuela 10, , City of Navotas 2, , City of Las Piñas 10, , City of Makati 8, , City of Muntinlupa 8, , City of Parañaque 8, , Pasay City 7, , City of Taguig 11, , Pateros CAR 34, , Abra 4, , Apayao 7, Benguet 3, , Ifugao 3, Kalinga 2, Mt. Province 1, Baguio City 10, , REGION I - ILOCOS 97, , , Ilocos Norte 6, , Ilocos Sur 8, , La Union 9, , Pangasinan 36, , Laoag City 2, City of Candon City of Vigan 2, City of San Fernando 6, , City of Alaminos 3, Dagupan City 8, , San Carlos City 8, , City of Urdaneta 3, * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 15

28 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** REGION II - CAGAYAN VALLEY 65, , Batanes Cagayan 17, , Isabela 21, , Nueva Vizcaya 9, , Quirino 3, Tuguegarao City 6, , City of Cauayan 2, City of Santiago 4, , REGION III - CENTRAL LUZON 202, , , Aurora 3, Bataan 7, , Bulacan 34, , Nueva Ecija 19, , Pampanga 27, , Tarlac 14, , Zambales 11, , City of Balanga 6, , City of Malolos 8, , City of Meycauayan 3, , City of San Jose Del Monte 8, , Cabanatuan City 11, , City of Gapan 2, Science City of Muñoz Palayan City San Jose City 3, Angeles City 9, , City of San Fernando 12, , City of Tarlac 11, , Olangapo City 6, , REGION IVA - CALABARZON 248, , , , Batangas 31, , Cavite 44, , Laguna 32, , Quezon 30, , Rizal 29, , * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 16

29 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** Batangas City 6, , Lipa City 7, , City of Tanauan 4, , Cavite City 3, Tagaytay City Trece Martires City 7, , City of Calamba 11, , San Pablo City 8, , City of Santa Rosa 6, , Lucena City 9, , City of Antipolo 14, , REGION IVB - MIMAROPA 48, , Marinduque 4, , Occidental Mindoro 8, , Oriental Mindoro 9, , Palawan 10, , Romblon 5, , Calapan City 4, , Puerto Princesa City 4, , REGION V - BICOL 121, , , Albay 17, , Camarines Norte 12, , Camarines Sur 30, , Catanduanes 5, , Masbate 12, , Sorsogon 10, , Legazpi City 5, , City of Ligao 3, City of Tabaco 3, Iriga City 2, Naga City 10, , City of Masbate 2, City of Sorsogon 4, , REGION VI - WESTERN VISAYAS 125, , , Aklan 10, , Antique 9, , Capiz 7, , Guimaras 2, Iloilo 27, , Negros Occidental 14, , * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 17

30 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** Roxas City 4, , Iloilo City 13, , City of Passi 1, Bacolod City 11, , Bago City 1, Cadiz City 2, City of Escalante 1, City of Himamaylan 1, City of Kabankalan 3, , La Carlota City Sagay City 2, San Carlos City 2, Silay City 3, , City of Sipalay 1, City of Talisay City of Victorias 1, REGION VII - CENTRAL VISAYAS 152, , , Bohol 19, , Cebu 41, , Negros Oriental 12, , Siquijor 1, Tagbilaran City 5, , Cebu City 35, , Danao City 2, Lapu-Lapu City 8, , Mandaue City 7, , City of Talisay 3, Toledo City 3, Bais City City of Bayawan 1, Canlaon City Dumaguete City 6, , City of Tanjay REGION VIII - EASTERN VISAYAS 69, , Biliran 3, Eastern Samar 5, , Leyte 24, , Northern Samar 7, , Samar 6, , Southern Leyte 5, , Ormoc City 5, , Tacloban City 6, , Calbayog City 2, City of Maasin 2, * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 18

31 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** REGION IX-ZAMBOANGA PENINSULA 56, , Zamboanga Del Norte 10, , Zamboanga Del Sur 12, , Zamboanga Sibugay 9, , Dapitan City 1, Dipolog City 2, , Pagadian City 4, , Zamboanga City 15, , REGION X - NORTHERN MINDANAO 86, , Bukidnon 18, , Camiguin 1, Lanao del Norte 8, , Misamis Occidental 3, , Misamis Oriental 12, , City of Malaybalay 4, , City of Valencia 3, Iligan City 7, , Oroquieta City 1, Ozamis City 4, , Tangub City 1, Cagayan de Oro City 15, , Gingoog City 2, REGION XI - DAVAO 85, , , Compostela Valley 10, , Davao 5, , Davao Del Sur 7, , Davao Oriental 6, , City of Panabo 2, Island Garden City of Samal 1, City of Tagum 10, , Davao City 36, City of Digos 4, , * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 19

32 Table 5 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS, FETAL DEATHS & MATERNAL DEATHS By Region, Province & City Number & Rate Area Total Infant Fetal Maternal Livebirths Deaths Deaths Deaths Deaths Number Rate* Number Rate* Number Rate** Number Ratio** Number Rate** REGION XII - SOCCSKSARGEN 65, , Cotabato 18, , Saranggani 5, , South Cotabato 8, , Sultan Kudarat 8, , City of Kidapawan 4, General Santos City 13, , City of Koronadal 4, , City of Tacurong 1, REGION XIII - CARAGA 38, , Agusan del Norte 5, , Agusan del Sur 10, , Surigao del Norte 3, , Surigao del Sur 5, , Dinagat Island 1, Butuan City 6, , Surigao City 3, , City of Bislig 1, ARMM 5, , Basilan Lanao del Sur Maguindanao Sulu Tawi-tawi City of Isabela 1, City of Lamitan Marawi City Cotabato City 1, FOREIGN COUNTRY 3 ~ Note: All numbers are by place of occurrence except for number of Infant Deaths which is by usual residence * per 1000 population ** per 1000 livebirths ~ rate cannot be computed, total no. of non-residents not available "-" means 0 20

33 Table 6 LIVEBIRTHS, TOTAL DEATHS, INFANT DEATHS & FETAL DEATHS By Month of Occurrence Number & Percent Distribution Month Infant Fetal Livebirths Total Deaths Deaths Deaths Number Percent Number Percent Number Percent Number Percent January 151, , , February 133, , , March 143, , , April 137, , , May 140, , , June 134, , , July 147, , , August 152, , , September 173, , , October 165, , , November 153, , , December 149, , , Total 1,782, , , , Note: Percentages may not add up to 100 due to rounding off 21

34 HEALTH INDICES BY MONTH OF OCCURRENCE Percent Distribution, Percent LIVEBIRTHS Jan Feb March April May June July Aug Sept Oct Nov Dec TOTAL DEATHS Percent Jan Feb March April May June July Aug Sept Oct Nov Dec Percent INFANT DEATHS Jan Feb March April May June July Aug Sept Oct Nov Dec Figure 6 22

35 Table 7 TOTAL LIVEBIRTHS, FEMALE POPULATION & FERTILITY RATE By Region Area Total Female Fertility Livebirths Population Rate* (15-49 Years) Philippines 1,782,981 24,584, National Capital Region 279,719 3,263, Cordillera Administrative Region 34, , Region I - Ilocos 97,237 1,301, Region II - Cagayan Valley 65, , Region III- Central Luzon 202,658 2,713, Region IVA - CALABARZON 248,185 3,242, Region IVB- MIMAROPA 48, , Region V - Bicol 121,771 1,395, Region VI - Western Visayas 125,376 1,906, Region VII - Central Visayas 152,500 1,831, Region VIII - Eastern Visayas 69,721 1,082, Region IX - Zamboanga Peninsula 56, , Region X - Northern Mindanao 86,511 1,143, Region XI - Davao 85,743 1,178, Region XII - SOCCSKSARGEN 65,580 1,051, Region XIII - CARAGA 38, , ARMM 5, , Note: Livebirths by place of occurrence * per 100 female population (15-49 years) of corresponding region 23

36 FERTILITY RATE BY REGION Region ARMM CARAGA SOCCSKSARGEN Eastern Visayas Zamboanga Peninsula Western Visayas MIMAROPA Davao Cagayan Valley Central Luzon Ilocos Northern Mindanao CAR CALABARZON Central Visayas NCR Bicol Rate Figure 7 LIVEBIRTHS BY ATTENDANCE Traditional Birth Attendants 23.5% Others 0.7% Not Stated 0.0% M.D 43.6% Midwife 30.9% Nurse 1.2% Figure 8 24

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